在冈比亚,围绕喉疼痛的健康寻求行为和信仰:定性研究
Maria Suau Sans1,2,3, Muhammed Manneh2, Isatou Ceesay2
1Department of Disease Control, London School of Hygiene and Tropical Medicine, London, United Kingdom.
PLOS global public health
|March 25, 2024
概括
在冈比亚,社区对A组链球菌 (链条A) 喉痛与风湿性心脏病 (RHD) 的联系的认识较低. 家庭疗法是常见的,延迟了抗生素的使用和RHD预防工作.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 类风湿病学 类风湿病学
背景情况:
- 甲型链球菌 (A型链球菌) 引起各种疾病,包括喉痛和皮肤感染.
- 并发症可能导致急性类风湿性发烧 (ARF) 和类风湿性心脏病 (RHD),在冈比亚怀疑高负担.
- 对于冈比亚的A型链球菌,流行病学数据和控制计划有限.
研究的目的:
- 在冈比亚的护理人员和医疗保健提供者中探索有关喉疼痛的社区信仰和做法.
- 了解因果归因,寻求护理的行为,以及喉疼痛生物医学护理的障碍.
- 为了告知预防Strep A后果的策略,如RHD.
主要方法:
- 使用与4名提供者进行非正式对话和与护理人员进行15次半结构面试进行的定性研究.
- 在冈比亚的苏库塔 (Sukuta) 进行了有目的和雪球样本采集,重点关注最近出现喉炎病例的家庭.
- 对收集的关于喉疼痛感知和管理的数据进行主题分析.
主要成果:
- 喉疼痛被认为是孤立的事件,很少危及生命,没有报告意识到与ARF或RHD的联系.
- 大多数喉疼痛最初都是用传统医学来治疗的,这延迟了正式的医疗保健和抗生素的使用.
- 在严重的病例中,对孩子生命的恐惧促使人们寻求正式的医疗保健.
结论:
- 对A型链杆菌的长期后果 (ARF/RHD) 的认识较低,阻碍了冈比亚的有效预防.
- 基于家庭的管理延迟了关键的抗生素治疗,增加了RHD风险.
- 量身定制的健康教育和改善医疗保健的准入对于预防A型链球菌的后果至关重要.
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